Article: article from journal or magazin.
Proximale Humerusmehrfragmentfrakturen--Misserfolge nach T-Platten-Osteosynthesen [Proximal humeral multiple fragment fractures--failures after T-plate osteosynthesis].
Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera
Publication types: English Abstract ; Journal ArticlePublication Status: ppublish
Dislocated compound fractures of the proximal humerus are often difficult to treat. The choice of treatment influences the final functional result. From 1984-1991 108 patients with dislocated compound fractures of the proximal humerus were operated with a T-plate osteosynthesis, retrospectively examined and classified according to the Neer-Classification. At an average follow up time of 5 years 72 patients had a clinical and radiological examination. 68% of these patients with 3-fragment fractures and 80% with 4-fragment fractures showed a modest to unsatisfactory result caused by fracture biology, imprecise fracture reduction or poor surgical procedure. Incorrect position of T-plates and inadequate material were distinguishable. The T-plate which was widely used in the late eighties for internal fixation has to be considered a failure for these particular types of fractures and should be limited for Collum chirurgicum fractures.
Adult, Aged, Aged, 80 and over, Bone Plates, Female, Fracture Fixation, Internal/instrumentation, Fracture Healing/physiology, Fractures, Open/radiography, Fractures, Open/surgery, Humans, Male, Middle Aged, Postoperative Complications/radiography, Postoperative Complications/surgery, Reoperation, Shoulder Dislocation/radiography, Shoulder Dislocation/surgery, Shoulder Fractures/radiography, Shoulder Fractures/surgery, Treatment Failure
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